BIOCH Y1 S1: Chromosome Disorders Flashcards

1
Q

what is a karyotype

A
  • an image of an individual’s collection of chromosomes
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2
Q

positions of centromere

A
  • metacentric: in the centre (chromosomes 1-5)
  • submetacentric: slightly above the centre (chromosomes 6-12)
  • acrocentric: a lot above the centre (chromosomes 13-22)
  • telocentric (satellites): essentially no P arm (not really found in humans)
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3
Q

what is an ideogram

A
  • standardised numbering system for bands in G banding
  • used for accurately describing locations of genes or abnormalities on a chromosome
  • genes are numbered out from the centromere to the telomere
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4
Q

p arm vs q arm (chromosome)

A
  • p: short arm (p for petite)
  • q: long arm
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5
Q

what is G-banding

A
  • alternating unique light and dark bands
  • light bands contain most of the transcriptionally active genes (G/C rich) > wound looser > dye doesn’t pick it up
  • dark bands are A/T rich
  • can detect deletions or insertions > 4Mb
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6
Q

notation for karyotype

A
  • total no. of chromosomes, sex chromosomes, description
  • e.g. 46, XX, normal female
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7
Q

pter and qter

A
  • pter: tip (terminal end) of short arm
  • qter: tip of long arm
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8
Q

cen and del (ISCN nomenclature)

A
  • centromere
  • deletion
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9
Q

der and ins (ISCN nomenclature)

A
  • derivative of chromosome rearrangement
  • insertion
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10
Q

inv, mat and pat (ISCN nomenclature)

A
  • inversion
  • maternal origin
  • paternal origin
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11
Q

what is aneuploidy + 3 types

A
  • loss or gain of one or more chromosomes
  • monosomy: loss of 1 chromosome, usually lethal b4 term
  • trisomy: gain of 1 chromosome
  • tetrasomy: gain of 2 chromosomes
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12
Q

how does aneuploidy arise?

A
  • usually by non-disjunction (failure of chromosomes or sister chromatids to separate during anaphase (meiosis or mitosis)
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13
Q

mosaicism

A
  • when there is a cell line with more than one karyotype due to aneuploidy arising during mitosis
  • e.g. mosaic Down syndrome: some cells have trisomy 21, some cells are normal
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14
Q

examples of aneuploidies

A

SURVIVE GESTATION - AUTOSOMAL
(increased risk w/ mother’s age)
- Patau - 47 chromosomes, trisomy 13 (least common)
- Edward - 47 chromosomes, trisomy 18
- Down - 47 chromosomes, trisomy 21 (most common)
DON’T SURVIVE GESTATION - SEX
- Turner (female)- 45 chromosomes, X > short stature
- Kleinefelter (male) - 47 chromosomes, XXY > more feminine characteristics e.g. gynaecomastia, tall stature

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15
Q

polyploidy and 2 types

A
  • n exceeds normal ploidy level, not compatible w/ life
  • triploidy: 3n = 69
  • tetraploidy: 4n = 92
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16
Q

causes of polyploidy

A
  • fertilisation of egg by 2 sperms
  • fertilisation of egg by diploid sperm
  • fertilisation of diploid egg by sperm
17
Q

2 categories of chromosome abnormality

A
  • number abnormality (polyploidy, aneuploidy)
  • structural abnormality - chromosome breakage w/ rejoining in a diff location
18
Q

5 types of structural abnormalities

A
  • insertion
  • deletion
  • inversion
  • translocation (swapping b/n chromosomes)
  • duplication
19
Q

balanced rearrangement

A
  • no net gain or loss of chromosomal material e.g. inversion or reciprocal translocation
  • usually harmless for the patient unless an important gene is interrupted
  • carriers are at risk of producing offspring w/ UNbalanced rearrangement/miscarriage
20
Q

unbalanced rearrangement

A
  • net gain or loss of chromosomal material e.g. insertion, deletion, translocation, duplication
  • usually severe clinical effects
21
Q

cri-du-chat (CdC) syndrome

A
  • deletion of 5p15 (chromosome 5, p arm, band 15)
  • cat-like cry and facial dysmorphisms
22
Q

3 types of translocation

A
  • reciprocal: exchange of parts b/n non-homologous chromosomes (balanced)
  • Robertsonian: long arms of 2 acrocentric chromosomes fuse, short arms are lost > 1 large metacentric chromosome (balanced) - centromere breaks
  • insertional/non-reciprocal: deletion of a chromosome inserted to another (unbalanced)
23
Q

how to tell autosomal recessive vs autosomal dominant on a pedigree

A
  • recessive: an affected individual w/ 2 unaffected parents (skipped generation)
  • dominant: every affected individual has an affected parent
  • both have equal males and females affected
24
Q

how to tell x linked dominant vs x linked recessive

A
  • dominant: affected father passes onto all daughters, more females may be affected
  • recessive: affected mother (heterozygous) passes onto 50% of her sons, more males affected
25
Q

how to tell if its y-linked

A
  • no affected women
  • all males are affected
26
Q

how to tell if its a mitochondrial inheritance

A
  • affected female transmits to some children
  • affected males do not pass on
27
Q

what is X-inactivation

A
  • since females have 2 copies of the X chromosome but males only have one, 1 of the female copies is inactivated
  • therefore males and females express approx the same amount of X genes
28
Q

types of mutations (protein outcome)

A
  • silent: diff codon but same AA b/c code is redundant (often seen in the 3rd/wobble base in the codon)
  • missense: one different AA (usually 1st or 2nd base of codon)
  • nonsense: early stop codon
  • frameshift: totally new protein
  • inframe deletion: delete 3 bases
29
Q

proband

A
  • first person in family to be diagnosed w condition in a pedigree
30
Q

loss of function vs gain of function mutations

A
  • loss: negatively affect protein function (generally recessive)
  • gain: altered function (not necessarily +ve, generally dominant)
31
Q

conditional mutations

A

cause phenotypic changes under certain conditions but not detectable under permissible conditions

32
Q

monogenic vs polygenic (multifactorial) conditions

A
  • monogenic: single defective gene
  • multifactorial: genetics combined with environmental factors (epigenetics)
33
Q

how does autism work?

A
  • variation in several genes